| NPI | 1023371051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP6868) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 3685-154) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA13454) | |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2024-01-03 |